临床实践证明

腹部针麻手术效果的好坏

常常受内脏牵拉反应和内脏痛的影响.因此

如何寻找能够预测内脏牵拉反应的方法

是选择针麻适应症

提高针麻效果的重要因素之一.方法病种分腹部及颈面部手术两组。腹部有全子宫切除术、胃大部切除术;颈面部有甲状腺囊肿或腺瘤切除术

青光眼减压术共Clinical practice suggests that the effect of acupuncture anesthesia is unstable and has close relation to individual conditions

esp.in abdominal operations such as gastrectomy

hysterectomy

cesarean section

oophoro- cystectomy

etc.In these procedures

refractive reaction and pain of the abdominal organs are more remarkable.In order to find out an appropriate individual for the acupuncture anesthetic operations

the alteration of heart rate before and after needling Neiguan point as the presumptive index for the acupuncture anesthesia is presented as a good method in this study. The heart rate should first be recorded when the patient is in a rest state.After that

needling Neiguan point and an electric inducement should be continued for 20 minutes.Then

the heart rate should be recorded again. I88 patients were tested in this study and the alteration of the heart rate was compared with the postoperative acuupuncture anesthesia effect.It was found that the slowed-down heart rate produced after needling Neiguan point was in a direct proportion to the effect by acupuncture anesthesia on the abdomen

i.e.those had a slowed-down heart rate would have a good effect

while those had an unaltered or increased heart rate would have as unde- sirable effect.The corvespondent rate is 77.5%.